New Hampshire Code of Administrative Rules
Lab - Commissioner, Department of Labor
Chapter Lab 400 - WORKERS' COMPENSATION SELF-INSURANCE
Part Lab 404 - ASSOCIATION OR GROUP SELF-INSURANCE
Section Lab 404.01 - Homogenous Self-Insured Groups

(a) Such employers shall form or join an association or group;

(b) Upon receipt of a self-insurance permit, an association or group shall complete and file with the department "Notice of Workers Compensation Insurance Coverage" form 6WC (4/2008) and "Supplemental Notice of Information Regarding Workers' Compensation Insurance Coverage" form 6WC-S (3/2013) specifying all members, and shall update these filings upon each new membership, in accordance with Lab chapter 300;

(c) Associations or groups shall provide proof of financial ability in accordance with Lab 405;

(d) Group self-insurance shall not relieve a member of any obligation under the statute or related rules of the department;

(e) Notice or knowledge of a work injury incident by a member shall be deemed conclusively to be constructive notice or knowledge on the part of an association or group;

(f) The insolvency, bankruptcy, or disassociation of a member shall not relieve the association or group from liability under the statute;

(g) When the membership of an employer ceases, an association or group shall complete and file written notice with the department, not less than 30 days prior to the effective date, in addition to filing with respect to such employer a "Termination Notice" form WC-100, (10/1991) in accordance with Lab 307; and

(h) When the membership of an employer ceases, but is then reinstated prior to the effective date of termination, an association or group shall file with the department a "Reinstatement Notice" form WC-100 R (9/2015) in accordance with Lab 307.02.